Savage, Shelly

Savage, Shelly is an individual health care provider with primary practice located at 1900 N State St , Provo UT 84604-1341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Savage, Shelly can be contacted via phone (801) 373-2001.

Contact Information

Primary practice address
1900 N State St Provo UT 84604-1341
Phone: (801) 373-2001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4775407-1205 Utah

Profile Details

NPI number 1194876078
LBN Legal business name Savage, Shelly
Credentials MD, LLC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Apr 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194876078 NPPES
Utah Other 47754071201001 BCBS OF UTAH
Utah Other 01-01807 BCBS OF UTAH
Utah Other 731282 BCBS OF UTAH
Utah Other 107008791102 BCBS OF UTAH
Utah Other 68627 BCBS OF UTAH
Utah Other 216829 BCBS OF UTAH

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